The book edited by Burg et al is a unique collection of unusual cases of cutaneous lymphomas and related benign cases with CTCL-like features or pseudolymphomas. The cases are challenging and fascinating, as the ones encountered in real life are, and do not conform to the typical textbook presentation of cutaneous lymphomas. Unfortunately, the cases are presented in a very succinct vignette fashion, often lacking important clinical and pathological details. In some cases, the lack of information makes you wonder about the true nature of the lesions presented. For instance, in my opinion, there is a contradiction in diagnostic terms apparent in the following quote from page 32: “clone-negative, CD8+ Sézary syndrome—a prominent leukemic variant of erythrodermic actinic reticuloid.” This case is either erythrodermic actinic reticuloid mimicking Sézary syndrome, or it is photosensitive Sézary syndrome, but the diagnoses are mutually exclusive. There are also 3 cases of the recently described CD4+/CD56+ hematodermic neoplasm presented with different diagnoses. This lack of diagnostic accuracy perpetuates the confusion and frustration felt by many of us who are trying to keep up with the leading trends in the field. Overall, the diversity of cases presented is highly informative and provides a sample for the complexity of cases seen in a clinical practice dedicated to cutaneous lymphomas.
Guitart J. Cutaneous Lymphomas: Unusual Cases. Arch Dermatol. 2006;142(3):404-405. doi:10.1001/archderm.142.3.404-c